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Have you done Fast FOrward and Earobics??? (mostly for receptive, I think)

still no speech

> Hi all, just wanted to know if there was anybody out there that is

> experiencing there child having no speech. He's on Dr. Gs protocol and

> while making good progress in several areas, speech still isn't there.

> It's not just speech, it's receptive as well. My son is 8 and has been

> with Dr. G. for 1 1/2 years. He has always been classified severe

> autistic mainly because of his severe lack of language understanding.

> We've done the hearing check and where they do the graph to see inside

> his ear. Everything appears normal. He's a very visual learner. We've

> tried PECs and he uses it somewhat and sign language is too

> complicated for him now. Any suggestions, would be greatly

> appreciated. If he could just get the receptive part I would be

> content. Thanks in advance.

>

> Sincerely,

> D. Brayman

>

>

>

>

> Responsibility for the content of this message lies strictly with

> the original author, and is not necessarily endorsed by or the

> opinion of the Research Institute.

>

>

>

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All, I have been meaning to ask on this list if anyone has any experience with

the use of prednisol (steroid/anti-inflammatory/immune suppressant)? I realise

this may be controversial on this list, but if the immune system is indeed

overactive in some cases there may be some justification, although not without

due caution. V. Singh Ph.D has found elevated Myelin Basic protein

autoantibodies in " upto 80% " of cases of autism, and has coined the term

" autoimmune autism " , and clearly there would be a case for the use of steroids

in that respect, though maybe not if there was something else lurking where that

same immune response might be needed. MBP antibodies are associated with

multiple sclerosis, and it does not seem that this is reported in association

with autism, however, the neuro-immune activation that would be expected as a

result of MBP auto-antibodies does not seem to be being addressed, or is it?

D. Brayman, your post prompted me to ask because of the speech gains reputedly

associated with prednisol: " To date, prednisone appears to be one of the only

medications that has a high rate of success in treating the underlying cause of

speech loss or lack of speech in autism. "

http://aheadwithautism.com/pred01.html

I'm not trying to sell prednisol or the concept, but it does seem that however

much you aid the immune system to deal with pathogens, and even if you got to

the point where you had eliminated absolutely all, if MBP antibodies are present

then you will still get the immune activation and associated cytokines that

might well be contributing to speech problems. Prednisol would serve to suppress

this activation.

Thanks,

Jon.

There are other references for Singh around, but here is one of them:

http://www.healthboards.com/autism/412.html

--------------------------------------------------------------------------------

still no speech

Hi all, just wanted to know if there was anybody out there that is

experiencing there child having no speech. He's on Dr. Gs protocol and

while making good progress in several areas, speech still isn't there.

It's not just speech, it's receptive as well. My son is 8 and has been

with Dr. G. for 1 1/2 years. He has always been classified severe

autistic mainly because of his severe lack of language understanding.

We've done the hearing check and where they do the graph to see inside

his ear. Everything appears normal. He's a very visual learner. We've

tried PECs and he uses it somewhat and sign language is too

complicated for him now. Any suggestions, would be greatly

appreciated. If he could just get the receptive part I would be

content. Thanks in advance.

Sincerely,

D. Brayman

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Hi,

Just wanted to say that my son also can identify with yours. We have been a

patient of Dr. G for just over 2 years. He has improved, however speech

seems to be one of our final challenges. My son also uses pecs. He is

turning 6 tomorrow. My understanding of giving prednisone to your child is

that the steroids when given further suppress the immune system so that if

you are treating a virus (per Dr. G) that giving the steroid will only make

the virus worse. We are hoping for speech, if you have any further info, let

me know!! Thanks, Kathy

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I spoke Dr. Mott at Ahead with Autism and talked about the

recoverery rates using steroids. Ultimately I believe it was about 6% held

onto their improvements. I think that there is a very small subgroup that

may benefit and it warrents further investigation. The side effects of long

term steroid use were more than I was willing to risk on my son.

still no speech

>

>

> Hi all, just wanted to know if there was anybody out there that is

> experiencing there child having no speech. He's on Dr. Gs protocol and

> while making good progress in several areas, speech still isn't there.

> It's not just speech, it's receptive as well. My son is 8 and has been

> with Dr. G. for 1 1/2 years. He has always been classified severe

> autistic mainly because of his severe lack of language understanding.

> We've done the hearing check and where they do the graph to see inside

> his ear. Everything appears normal. He's a very visual learner. We've

> tried PECs and he uses it somewhat and sign language is too

> complicated for him now. Any suggestions, would be greatly

> appreciated. If he could just get the receptive part I would be

> content. Thanks in advance.

>

> Sincerely,

> D. Brayman

>

>

>

>

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There are two major problems with using steroids on children. The first is

the terrible side effects that occur with anyone who uses steroids on a long

term basis. The second is that because of the dysfunctional immune system

kids have subclinical viral, fungal, and sometimes bacterial infections

on board. Shutting the immune system more will only give free reign to those

agents. That would be an extremely dangerous thing to do. Kathy -NNY

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I have an 11 year old who is also non verbal making

slow progress in other areas but still no speech. He

does sometimes vocalize alot but not words. I know

exactly how you feel.

--- ldugua <Ldugua@...> wrote:

> Have you done Fast FOrward and Earobics??? (mostly

> for receptive, I think)

> still no speech

>

>

> > Hi all, just wanted to know if there was anybody

> out there that is

> > experiencing there child having no speech. He's on

> Dr. Gs protocol and

> > while making good progress in several areas,

> speech still isn't there.

> > It's not just speech, it's receptive as well. My

> son is 8 and has been

> > with Dr. G. for 1 1/2 years. He has always been

> classified severe

> > autistic mainly because of his severe lack of

> language understanding.

> > We've done the hearing check and where they do the

> graph to see inside

> > his ear. Everything appears normal. He's a very

> visual learner. We've

> > tried PECs and he uses it somewhat and sign

> language is too

> > complicated for him now. Any suggestions, would be

> greatly

> > appreciated. If he could just get the receptive

> part I would be

> > content. Thanks in advance.

> >

> > Sincerely,

> > D. Brayman

> >

> >

> >

> >

> > Responsibility for the content of this message

> lies strictly with

> > the original author, and is not necessarily

> endorsed by or the

> > opinion of the Research Institute.

> >

> >

> >

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is 10 and started with Dr G. in 1997. she is still non verbal but has

made much progress in communicating and many other areas. we are still

working on oral motor for language and are getting slow progress

Tina M. Hendrix

Cure2000@...

Vice-President, California Coalition

Neuro-Immune Dysfunction Syndromes

Autism Spectrum Disorder, ADD/ADHD, Learning Disorders, Hyperactivity, CFS,

etc.

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Thanks Doug,

6% does not sound like much, but one way of looking at it is that it represents

a significant therapy for 6%, that must equate to thousands, and then if you

consider those that did improve but failed to maintain it. I see it as a probe

drug, and if you get an improvement (which does not take long from what I can

gather) then it points the way to finding a more long-term therapy. I have drawn

attention to MBP antibodies (which are detectable in upto 80% of those with

autism), because no matter how much you combat infections you will always have

MBP, which for all intents and purposes is " treated " as a pathogen, and you'd

get autoimmune-, which is bad for two reasons:

1.. Improper myelination.

2.. The cytokine release associated with immune activation and tissue damage.

Because the brain is such a concentrated area of myelin, it seems to stand to

reason there would be concentrated immune activity in this region, and this

would significantly increase the chances of cytokines such as IL-1 having an

effect on the Hypothalamus-Pituitary-Adrenal-axis. I think this is getting close

to being a model of autism, but does not explain why we don't see symptoms of

multiple sclerosis (so far as I know) but yet have these antibodies too. Is the

only probable explanation that the increased presence of cytokines in cases of

autism actually causing the hypothalamus to suppress the immune system, and

leaving the door open to other invaders? It is a complex issue, but this one

below might give you an idea of what I'm driving at:

--------------------------------------------------------------------------------

Ref ID : 1587

11. Sternberg EM, Chrousos GP, Wilder RL, Gold PW. The stress

response and the regulation of inflammatory disease. Ann Intern

Med 1992; 117: 854-866.

Notes : AB - The molecular and biochemical bases for

interactions between the immune and central nervous systems are

described. Immune cytokines not only activate immune function

but also recruit central stress- responsive neurotransmitter

systems in the modulation of the immune response and in the

activation of behaviors that may be adaptive during injury or

inflammation. Peripherally generated cytokines, such as

interleukin-1, signal hypothalamic corticotropin-releasing

hormone (CRH) neurons to activate pituitary-adrenal counter-

regulation of inflammation through the potent antiinflammatory

effects of glucocorticoids (my note: prednisol is synthetic replacement).

Corticotropin-releasing hormone not

only activates the pituitary-adrenal axis but also sets in

motion a coordinated series of behavioral and physiologic

responses, suggesting that the central nervous system may

coordinate both behavioral and immunologic adaptation during

stressful situations. The pathophysiologic perturbation of this

feedback loop, through various mechanisms, results in the

development of inflammatory syndromes, such as rheumatoid

arthritis, and behavioral syndromes, such as depression. Thus,

diseases characterized by both inflammatory and emotional

disturbances may derive from common alterations in specific

central nervous system pathways (for example, the CRH system).

In addition, disruptions of this communication by genetic,

infectious, toxic, or pharmacologic means can influence the

susceptibility to disorders associated with both behavioral and

inflammatory components and potentially alter their natural

history. These concepts suggest that neuropharmacologic agents

that stimulate hypothalamic CRH might potentially be adjunctive

therapy for illnesses traditionally viewed as inflammatory or

autoimmune AD - National Institute of Mental Health AD -

Bethesda AD - MD 20892 UI - 93036936.

http://www.banick.com/~julie/allref.txt

--------------------------------------------------------------------------------

Nothing conclusive, but the possibilities do seem to be there.

Jon.

still no speech

>

>

> Hi all, just wanted to know if there was anybody out there that is

> experiencing there child having no speech. He's on Dr. Gs protocol and

> while making good progress in several areas, speech still isn't there.

> It's not just speech, it's receptive as well. My son is 8 and has been

> with Dr. G. for 1 1/2 years. He has always been classified severe

> autistic mainly because of his severe lack of language understanding.

> We've done the hearing check and where they do the graph to see inside

> his ear. Everything appears normal. He's a very visual learner. We've

> tried PECs and he uses it somewhat and sign language is too

> complicated for him now. Any suggestions, would be greatly

> appreciated. If he could just get the receptive part I would be

> content. Thanks in advance.

>

> Sincerely,

> D. Brayman

>

>

>

>

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Thanks Kathy, I do see the dangers, but there must be a lesson to learn from the

hard-to-dispute fact that steroids do bring about an improvement, despite the

probability they would serve to suppress the immune system. What isn't clear

however is what is being done for the high incidence of MBP autoantibodies, is

there a reliable means of countering that which does not involve immune

suppression? On the one hand we are trying to fend-off various infections, and

on the other we are overlooking the effect of an immune attack on brain tissue,

could it be that they have a suppressed immune system BECAUSE they have

autoantibodies?

It is incredible that familial studies report such high incidence of autoimmune

disorders associated with autism. Could it be that someone with autism is that

bit better at countering/suppressing auto-immune activity but is highly

susceptible to it?

Jon.

Re: still no speech

There are two major problems with using steroids on children. The first is

the terrible side effects that occur with anyone who uses steroids on a long

term basis. The second is that because of the dysfunctional immune system

kids have subclinical viral, fungal, and sometimes bacterial infections

on board. Shutting the immune system more will only give free reign to those

agents. That would be an extremely dangerous thing to do. Kathy -NNY

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Jon,

is a system disorder. In order to treat it you have to treat the

immune system and get it back into homeostasis. Remember this is a system

that is so exquisitely sensitive that it can react within seconds (think

anaphylactic reaction), make and store antibodies for 50 or so years, react

against many things at once. It is also probably the least explored of all

the systems. ASD is a symptom of a hyporeactive and hyperactive immune

system. Giving a steroid possibly depresses the hyperactive side but does

nothing for the hyporeactive side. So IF you have temporarily fixed the

problem, and I think that is a major stretch to say that you have, you have

only fixed half of it. Kids on the protocol get better and a lot of them

get normal. The immune system is made up of a lot of different cells. Do we

actually know all the cytokines? Do we actually know what they do? How they

interact? Do kids on steroids stay better after the steroids are removed? For

how long? What are the long term effects of the drug? Actually we know what

the long term effects of steroids are on children. Kathy -NNY

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Researchers find

gene linked to MS, arthritis

" Lack of Corticotropin-Releasing Hormone. Some people may have a genetic

deficiency of a hormone known as corticotropin-releasing hormone (CRH), which

produces corticosteroids, other hormones that suppress the inflammatory process "

In some respects MS tharapy might be misguided since steroids shut-down

CRH, and doing so might thereby actually serve to perpetuate the situation

because CRH kills activated T cells. Quote next>

------------------------------------------------------------------------

Maternal tolerance

Embryonic and endometrial corticotrophin-releasing hormone promotes

implantation and maintenance of early pregnancy by killing activated T cells.

Corticotrophin-releasing hormone (CRH) participates in the implantation of

embryos and early pregnancy tolerance via pathways that remain poorly

understood. In October Nature Immunology, Makrigiannakis and colleagues from

University of Crete School of Medicine, Greece, show that locally produced

embryonic and endometrial CRH promotes implantation and maintenance of early

pregnancy primarily by killing activated T cells.

Makrigiannakis et al. studied isolated primary human extravillous trophoblast

cells and found that antalarmin, a CRH receptor type 1 antagonist, decreased

FasL expression and promoted apoptosis of activated T lymphocytes, an effect

potentiated by CRH. In addition, they found that female rats treated with

antalarmin had a reduced number of successful pregnancies and a diminished

endometrial FasL expression, whilst antalarmin treated mothers that lacked T

cells did not reject the embryos (Nat Immunol 2001, DOI: 10.1038/ni722).

These results suggest a potential cause of female infertility and may also

lead to the development of a new class of nonsteroidal contraceptives that

prevent pregnancy in its very early stages.

Tudor Toma (t.toma@...)

Links for this article

Makrigiannakis A, Zoumakis E, Kalantaridou S, et al.: Corticotropin-releasing

hormone promotes blastocyst implantation and early maternal tolerance. Nat

Immunol 2001, DOI: 10.1038/ni722

http://immunol.nature.com

University of Crete School of Medicine

http://www.uch.gr/Tmhmata/MEDICINE/index.html

http://www.biomedcentral.com/news/20011010/02

------------------------------------------------------------------------------

Besides their direct immune activity, steroid hormones can actually

activate the Hippocampus, an area involved in memory and learning. This, to be

truthful is not an absolute rule since overstimulation can serve an opposite

role, and some mental impairments are associated with Cushings. It does seem a

to be a fine line, but seemingly one that could relatively easily be tested

for.

Jon.

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